Internal fixation with anatomic plate in treatment of intra - articular calcaneal fractures / 中华创伤骨科杂志

ABSTRACT

Objective To evaluate the effect of internal fixation with anatomic plate in treatment of in-tra-articular calcaneal fractures with different hone grafting methods.Methods 40 fractures in 37 patients with intra-articular calcancai fractures were given internal fixation with anatomic plate.Ilium grafting was done in type II and ID (Sanders' classification) cases,and reconstruction of articular surface using iliac crest with periosteum in type VI cases.The foot functions of the patients were evaluated according to Maryland Foot Scoro.Results In the 28 fractures who were followed up for 6 to 48 months,excellent results were obtained in 13(46.4% ),good in 14 (50% ),fair in 1 (3.6% ),with the excellent and good rate being 96.4%.Conclusion Being able to effectively support the articular surface of calcaneus,the anatomic plate is a fine internal fixation device for calcancai fractures,and grafting using iliac crest with periosteum is an effective method to repair defects of the articular surface.